Ryan Chandler Upright, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Spencer, NC
NPI 1669958807 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1669958807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 11884 (NC)
- Practice address
- 1404 S Salisbury Ave
Spencer, NC 28159-1921 - Phone
- (704) 633-3892
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11884 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 11884 | NC | Yes |
Addresses
Primary practice location
1404 S Salisbury Ave
Spencer, NC 28159-1921
Mailing address
PO Box 1243
Kannapolis, NC 28082-1243
Phone (704) 796-0155
Other providers in Spencer, NC
- Total Renal Care of North Carolina LLC
- Jo Ann Townsend
- TRC of Salisbury, Inc.
- TRC of Salisbury, Inc.
- Truecarerx, LLC
- Kenneth Washko
- Tara White
All providers in Spencer, NC · Occupational Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.